A 40-year-old woman presents to the GP with a 6-month history of urgency, frequency, and urge urinary incontinence. She has no stress incontinence sym...

Question

A 40-year-old woman presents to the GP with a 6-month history of urgency, frequency, and urge urinary incontinence. She has no stress incontinence symptoms, no haematuria, and no recurrent UTIs. A urine dipstick is clear. Which is the single most appropriate first-line treatment?

Accepted Answer

Offer supervised bladder training for a minimum of 6 weeks

Answer

Commence oxybutynin 5 mg twice daily

Answer

Refer for urodynamic studies

Answer

Prescribe desmopressin at night

Answer

Refer for botulinum toxin injection

uk-drcog MCQ (SBA): Overactive Bladder - First-line Treatment

A 40-year-old woman presents to the GP with a 6-month history of urgency, frequency, and urge urinary incontinence. She has no stress incontinence symptoms, no haematuria, and no recurrent UTIs. A urine dipstick is clear. Which is the single most appropriate first-line treatment?